| NPI | 1477840833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.144675) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MO 2016016259) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-11-14 |